Individual
MIRANDA ANN BRUNNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
525 METRO PL N STE 100, DUBLIN, OH 43017-5343
(855) 289-1722
Mailing address
525 METRO PL N STE 100, DUBLIN, OH 43017-5343
(855) 289-1722
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2103615
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
08/11/2020
Last updated
03/13/2025
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